La Padula Simone, Pensato Rosita, D'Andrea Francesco, de Gregorio Ludovica, Errico Concetta, Rega Umberto, Canta Luigi, Pizza Chiara, Roccaro Giovanni, Billon Raphaelle, Dibra Endri, Meningaud Jean Paul, Hersant Barbara
Department of Plastic and Reconstructive Surgery, Università Degli Studi di Napoli Federico II, Via Pansini 5, 80131 Napoli, Italy.
Department of Plastic, Reconstructive and Maxillo facial Surgery, Henri Mondor Hospital, University Paris XII, 51 Avenue du Maréchal de Lattre de Tassigny, 94000 Creteil, France.
J Clin Med. 2022 Jun 16;11(12):3464. doi: 10.3390/jcm11123464.
Background: Breast augmentation is one of the most frequently performed plastic surgery procedures. Providing patients with realistic 3D simulations of breast augmentation outcomes is becoming increasingly common. Until recently, such programs were expensive and required significant equipment, training, and office space. New simple user-friendly programs have been developed, but to date there remains a paucity of objective evidence comparing these 3D simulations with post-operative outcomes. The aim of this study is to assess the aesthetic similarity between a pre-operative 3D simulation generated using Arbrea breast simulation software and real post-operative outcomes, with a focus on patient satisfaction. Methods: The authors conducted a prospective study of patients requiring breast augmentation. Patients were asked to assess how realistic the simulation was compared to the one-year post-operative result using the authors’ grading scale for breast augmentation simulation assessment. Patient satisfaction with the simulations was assessed using a satisfaction visual analogue scale (VAS) ranging from 0 (not at all satisfied) to 10 (very satisfied). Patient satisfaction with the surgical outcome was assessed using the BREAST-Q Augmentation Module. Results: All patients were satisfied with the simulations and with the attained breast volume, with a mean VAS score of 8.2 ± 1.2. The mean simulation time took 90 s on average. The differences between the pre-operative and one-year post-operative values of the three BREAST-Q assessments were found to be statistically significant (p < 0.001). Conclusions: Three-dimensional simulation is becoming increasingly common in pre-operative planning for breast augmentation. The present study aimed to assess the degree of similarity of three-dimensional simulations generated using Arbrea Breast Software and found that the use of the software provided a very satisfying representation for patients undergoing breast augmentation. However, we recommend informing patients that only the volume simulation is extremely accurate. On the other hand, it is necessary to not guarantee an absolute correspondence regarding the breast shape between the simulation and the post-operative result.
隆胸是最常开展的整形手术之一。为患者提供隆胸效果的逼真三维模拟正变得越来越普遍。直到最近，此类程序成本高昂，需要大量设备、培训及办公空间。现已开发出新型简单易用的程序，但迄今为止，将这些三维模拟与术后效果进行比较的客观证据仍然匮乏。本研究旨在评估使用Arbrea乳房模拟软件生成的术前三维模拟与实际术后效果之间的美学相似度，重点关注患者满意度。方法：作者对需要隆胸的患者进行了一项前瞻性研究。要求患者使用作者的隆胸模拟评估分级量表，评估模拟与术后一年结果相比的逼真程度。使用从0（完全不满意）到10（非常满意）的满意度视觉模拟量表（VAS）评估患者对模拟的满意度。使用BREAST-Q隆胸模块评估患者对手术效果的满意度。结果：所有患者对模拟及获得的乳房体积均满意，平均VAS评分为8.2±1.2。平均模拟时间平均为90秒。发现BREAST-Q三项评估的术前值与术后一年值之间的差异具有统计学意义（p<0.001）。结论：三维模拟在隆胸术前规划中越来越普遍。本研究旨在评估使用Arbrea乳房软件生成的三维模拟的相似程度，发现该软件的使用为隆胸患者提供了非常令人满意的呈现。然而，我们建议告知患者只有体积模拟极其准确。另一方面，有必要不保证模拟与术后结果在乳房形状上绝对一致。
